Munson Health
 
Hyperkyphosis

Back to Document

by Kellicker PG

(Roundback of the Spine; Congenital Kyphosis; Postural Kyphosis; Scheuermann’s Kyphosis; Hunchback)

 

Treatment

There are a variety of treatments available for hyperkyphosis, depending on the severity. You may need additional treatment to resolve any underlying conditions that contribute to your hyperkyphosis. Your doctor may refer to you a specialist who treats spinal disorders.
Options include the following:

Observation

Your doctor may recommend an observation period to see if the curve progresses, or if there are any changes in your symptoms. This means you may have more follow-up appointments. If you notice any progression, changes, or worsening of symptoms, you should contact your doctor.

Physical Therapy

Your doctor may refer you to a physical therapist to learn specific exercises. This may include strength work, stretching, and overall conditioning. You may also be taught how to maintain a correct posture. You may be instructed to sleep on a firm mattress.

Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) may be given for pain or discomfort.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may be given for pain or discomfort.

Back Brace

Braces are sometimes used. They can help correct hyperkyphosis or reduce discomfort.

Surgery

Surgery may be used when the curve is severe, progresses, or when other treatment methods fail. The goal of surgery is to correct the exaggeration of the curve. The spine is corrected with a metal rod, hooks, or screws in the back bones. Surgeons also use a bone graft to promote new growth and stability.
Vertebral compression fractures are sometimes treated with special cement. The cement is injected into the affected vertebral bodies to restore shape.
 

RESOURCES

American Academy of Orthopaedic Surgeons
http://orthoinfo.org

North American Spine Society
http://www.spine.org

 

CANADIAN RESOURCES

Canadian Orthopaedic Association
http://www.coa-aco.org

Canadian Orthopaedic Foundation
http://www.canorth.org

 

References


Acute low back pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 22, 2013. Accessed February 7, 2014.


Kyphosis. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/health-topics/conditions/kyphosis. Accessed February 7, 2014.


Kyphosis. Seattle Children’s Hospital website. Available at: http://www.seattlechildrens.org/medical-conditions/bone-joint-muscle-conditions/spinal-conditions-treatment/scoliosis/kyphosis. Accessed February 7, 2014.


Kyphosis (roundback) of the spine. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00423. Updated September 2007. Accessed February 7, 2014.


Lowe TG, Line BG. Evidence based medicine: analysis of Scheuermann kyphosis. Spine. 2007;32(19 Suppl):S115-119.


Scheuermann's kyphosis correction. Virginia Spine Institute website. Available at: http://www.spinemd.com/operative-treatments/scheuermanns-kyphosis-correction-reston-va.php. Accessed February 7, 2014.


Wenger DR, Frick SL. Scheuermann kyphosis. Spine. 1999;24(24):2630-2639.

 

Revision Information